ABSTRACT
This chapter describes two central treatment goals relating directly to the two pathological juggernauts facing early-onset persistent depressive disorder patients. The first goal is to quiet the fear-avoidance of the patient, Core problem 1, and replace it with felt interpersonal safety. The second goal modifies Core problem 2. Traditional therapies usually maintain an exclusive focus on patients and their problems. The interpersonal nature of Cognitive Behavioral Analysis System of Psychotherapy (CBASP) therapy and its rationale approaches treatment differently. Actualization of the second CBASP goal is realized when patients are able to recognize the consequences their behavior has on others. This perceptual shift is described in CBASP as the acquisition of perceived functionality. Perceived functionality is usually accompanied with expressions of felt empowerment. The achievement of perceived functionality frequently signals that an approach lifestyle is emerging and interpersonal avoidance is decreasing.
